Intra-Articular Osteotomy for Genu Valgum in the Knee with a Lateral Compartment Deficiency

The Journal of Bone and Joint Surgery. American Volume
David S FeldmanAbdel Majid Sheikh Taha

Abstract

A deficiency of the lateral compartment of the knee, often in the setting of skeletal dysplasia, is an intra-articular deformity resulting in genu valgum. Historically, this abnormality has been treated using an extra-articular approach. Lateral hypoplasia of the femoral condyle can be treated with advancement of the lateral femoral condyle without creating a secondary deformity. The purpose of this study was to present the technique and results of lateral condylar advancement, with or without tibial hemiplateau elevation, in patients with intra-articular valgus deformity secondary to skeletal dysplasia. A retrospective review of the cases of five patients, from seven to twenty-one years old, with skeletal dysplasia and unilateral or bilateral severe genu valgum deformity was performed. For all patients, the etiology of the deformity was a deficient lateral compartment of the knee-that is, lateral femoral condylar hypoplasia with or without concomitant lateral hemiplateau depression. Lateral femoral condylar advancement with or without lateral tibial hemiplateau elevation was performed in eight knees. The average tibiofemoral angle was 34.7° of valgus preoperatively and improved to 9.4° of valgus at the most recent follow-up. T...Continue Reading

References

Jun 10, 2003·The Journal of Bone and Joint Surgery. British Volume·S JonesJ Hartley
Mar 25, 2006·Journal of Pediatric Orthopedics·Hany HefnyElhussein Elmoatasem
Sep 6, 2006·Operative Orthopädie und Traumatologie·Rene K Marti, Lijkele Beimers
Feb 16, 2007·Sports Medicine and Arthroscopy Review·Giancarlo PudduEnrico Giannì
Apr 17, 2009·Journal of Children's Orthopaedics·Nirav K PandyaHarish S Hosalkar

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Citations

Aug 19, 2016·The Journal of Bone and Joint Surgery. American Volume·Reggie C HamdyS Robert Rozbruch
Aug 18, 2017·The Journal of Bone and Joint Surgery. American Volume·Reggie C HamdyS Robert Rozbruch

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